Welcome
Providers
Board of Directors
About Us
Events
Campbell Co Resource Directory
Our Programs
Health Clinic
Behavioral Health
Family Services Center
Black Lung Clinic
Recovery Court
Financial Empowerment Initiative
Dolly Parton's Imagination Library
Our History
Employment Opportunities
Employee Resources
Welcome
Providers
Board of Directors
About Us
Events
Campbell Co Resource Directory
Our Programs
Health Clinic
Behavioral Health
Family Services Center
Black Lung Clinic
Recovery Court
Financial Empowerment Initiative
Dolly Parton's Imagination Library
Our History
Employment Opportunities
Employee Resources
Survey Test Do Not Use
Gender
Male
Female
Transgender
Prefer Not to Answer
Age
0-12
13-19
20-29
30-39
40-49
50-64
65+
Race
Mexican American/Chicano
Cuban
Puerto Rican
Another Hispanic, Latino, Spanish
Asian Indian
Native Hawaiian
Chinese
Korean
Other Asian
Black/ African American
Other Pacific Islander
Filipino
Vietnamese
Guamanian/Chamorro
White
American Indian/Alaskan
Japanese
Samoan
More Than 1 Race
How would you rate your general health?
Very Good
Good
Fair
Poor
How would you rate the ease to getting appointment for checkups (yearly exams, well-visits, regular follow-up visits)
Very Easy
Easy
Neutral
Difficult
Very Difficult
Not Applicable
How would you rate the ease to make same day appointment when sick or hurt?
Very Easy
Easy
Neutral
Difficult
Very Difficult
Not Applicable
Do the Health Center hours work for you?
Yes
No
Are you able to phone the Health Center easily?
Yes
No
Do you receive return phone calls quickly from the health center?
Yes
No
Not Applicable
Are you able to get medical advice when the office is closed?
Yes
No
How would you rate your wait time at the clinic?
Very Good
Good
Neutral
Fair
Poor
How would you rate your wait time at the clinic?
Very Good
Good
Neutral
Fair
Poor
Very Good
Good
Neutral
Fair
Poor
Very Good
Good
Neutral
Fair
Poor
Very Good
Good
Neutral
Fair
Poor
Very Good
Good
Neutral
Fair
Poor
Very Good
Good
Neutral
Fair
Poor
Very Good
Good
Neutral
Fair
Poor
Very Good
Good
Neutral
Fair
Poor
Thank you for you submission!